Variable: NCH_CARR_CLM_SBMTD_CHRG_AMT

NCH Carrier Claim Submitted Charge Amount (sum of all line-level submitted charges)

Description

The total submitted charges on the claim (sum of all line-level submitted charges, variable called LINE_SBMTD_CHRG_AMT)

Comment

The charges the provider submits may be different than the amount that Medicare or a secondary payer will allow for the claim - and this amount is also different than the actual Medicare or beneficiary paid amounts. Medicare payments are described in detail in a series of Medicare Payment Advisory Commission (MedPAC) documents called “Payment Basics” (see: http://www.medpac.gov/payment_basics.cfm). Also in the Medicare Learning Network (MLN) “Payment System Fact Sheet Series” (see: http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/MLN-Publications.html)

Values

n/a

Other Info

Some additional information on this variable:

• Short Name: SBMTCHRG
• Long Name: NCH_CARR_CLM_SBMTD_CHRG_AMT
• Type: NUM
• Length: 12
• Source: NCH QA Process
• Value Format: XXX.XX